License holder summary

MARY SOURIVANH is a Licensed Practical Nurse licensed to practice in Connecticut. The address on file for MARY SOURIVANH is 536 NORMAN ST, Fairfield, BRIDGEPORT, CT, 06605-1132. This licensed professional license is current. The license was granted 12/13/2011 and expired on 12/31/2014.

Connecticut

Department of Consumer Protection

MARY SOURIVANH
Licensed Practical Nurse
License number
36644
Date granted
12/13/2011
Date expires
12/31/2014
Class
Licensed Practical Nurse
Status
Active
Address
536 NORMAN ST, Fairfield, BRIDGEPORT, CT, 06605-1132
ctlicensing.org
ID 4254833
LAST UPDATED 2026-06-20 04:01:42 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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